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General NPI Number Information
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NPI Number | 1609682020
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Entity Type | Organization
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Legal Business Name | VALIANT RESOURCE AND MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 5532 BROOK RUN DRIVE
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City | MEDINA
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State | OH
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Zip | 44256
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Country | US
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Telephone | 614-900-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 PEARL RD
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City | MEDINA
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State | OH
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Zip | 44256-7647
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Country | US
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Telephone | 614-900-0111
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Fax |
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Authorized Official
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Title or Position | CEO/ THERAPIST
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Name | DR. ANGEL JAMES
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Credential | DSW
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Telephone | 614-900-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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